Compare Plans

Not all coverage is the right coverage.

The healthcare coverage you need is probably very different than the coverage some of your co-workers need. Age, family status, medical conditions, hobbies, lifestyle and a myriad of other factors will help you determine if you need a lot or a very little amount of health coverage. That’s why HealthEZ provides multiple coverage options, so you’re never caught paying too much money, or worse, having too little coverage.

Summary Of Medical Benefits

HSA Plan 2

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$5,000

$10,000

 

$10,000

$20,000

Out-Of-Pocket Maximum

Individual

Family

 

$6,500

$13,000

 

$13,000

$26,000

Preventive Care

No Charge

20% Coins* after Ded

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

20% Coins* after Ded

Hospital Services

10% Coins* after Ded

20% Coins* after Ded

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

Urgent Care Services

10% Coins* after Ded

20% Coins* after Ded

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay after Deductible

20% Coins* after Ded

50% Coins* after Ded

20% Coins* after Ded

 

$20 Copay after Deductible

20% Coins* after Ded

50% Coins* after Ded

Not available

*Coinsurance

 

 

**Covered in-network if deemed true emergency

 

 


Summary of Medical Benefits

HSA Plan 1

In-Network

Out-of-Network

Calendar Year Deductible

Individual

Family

 

$3,000

$6,000

 

$6,000

$12,000

Out-of-Pocket Maximum

Individual

Family

 

$4,000

$8,000

 

$8,000

$16,000

Preventative Care

No Charge

20% Coins* after Ded

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

20% Coins* after Ded

Hospital Services

10% Coins* after Ded

20% Coins* after Ded

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

Urgent Care Services

10% Coins* after Ded

20% Coins* after Ded

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

 

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

10% Coins* after Ded

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

10% Coins* after Ded

10% Coins* after Ded

 

20% Coins* after Ded

20% Coins* after Ded

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30-Day Supply

$10 Copay after Deductible

20% Coins* after Ded

50% Coins* after Ded

20% Coins* after Ded

Mail Order 90-Day Supply

$20 Copay after Deductible

20% Coins* after Ded

50% Coins* after Ded

Not available

*Coinsurance

 

 

**Covered in-network if deemed true emergency

 

 


If you prefer talking with a HealthEZ representative, call 844-302-7784